Rampage Puzzle Attack is a fast-moving puzzle game that features more than five gameplay modes, password saving, and link cable support for two players on a single cartridge. Players maneuver a cursor on a sliding horizontal line of blocks, flipping the position of two colored blocks to create links of the same color. If you're good, you can create chains as the pile settles into the bin. In clear mode, you try to clear more than 50 levels of color blocks. Rescue mode gives players the opportunity to rescue fellow monsters from their cages before they are crushed. Completing this mode unlocks all the monsters for play in other modes. In puzzle mode, you have to clear all the color blocks on the playing field with a limited number of drops.